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Provider Enrollment Specialist - Hybrid

Date:  Jan 25, 2023
Location: 

Richmond, VA, US, 23219-2243

Req ID:  15664

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

Gainwell Technologies is responsible for all Provider Enrollment and Management functions for the Commonwealth of Virginia Department of Medical Assistance Services.

The primary role of an Associate Business Process Service for the Virginia Medicaid Provider Enrollment Services is to process Provider Enrollment Applications and other documents relating to provider management such as changes of address, terminations, or other activities that would change a provider’s status within the Medicaid program.

Your role in our mission

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

  • Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines 
  • Meet production and quality requirements established by clients for timely claims processing 
  • Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision 

What we're looking for

  • Knowledge of the Commonwealth of Virginia Department of Medical Assistance Service (DMAS) Program and Policies
  • Previous provider enrollment and maintenance of provider information for a Medicaid program, or other healthcare organization(s).
  • Ability to process enrollment and maintenance according to documented business requirements and performance standards.
  • Ability to professionally interface with internal customers, DMAS,  and the provider community.
  • Ability to problem solve and research independently provider enrollment and maintenance business requirements.

What you should expect in this role

  • Hybrid
  • On-site training in Richmond, VA 

      #LI-HYBRID        #LI-JW1

#LI-CM1

 

The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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